Acne Scar Treatment

Zaleski-Larsen, Lisa; Fabi, Sabrina G.; McGraw, Timothy A.; Taylor, Mark B.

doi:10.1097/dss.0000000000000746

Cited by 75 publications

(34 citation statements)

References 18 publications

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“… 8 , 9 Ascorbic acid, which also enhances the production of normal collagen, can be delivered in this manner. 10 In recent years, hyaluronic acid fillers and poly-L-lactic acid fillers have been used to improve skin depression associated with atrophic acne scars 11 – 14 and can also be used to improve the appearance of atrophic stretch marks. Calcium hydroxylapatite (CaHA, Radiesse; Merz North America, Raleigh, N.C.) is another type of dermal filler composed of white 25–45 µM microspheres of CaHA suspended in a gel carrier.…”

Section: Introductionmentioning

confidence: 99%

Calcium Hydroxylapatite Combined with Microneedling and Ascorbic Acid is Effective for Treating Stretch Marks

Casabona

Marchese

2017

Plastic and Reconstructive Surgery - Global Open

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Background:Stretch marks can have a negative psychological impact on some individuals. Methods are available for treating stretch marks, but high-quality evidence supporting their use is limited. We treat stretch marks using injections of diluted calcium hydroxylapatite (CaHA, Radiesse) filler combined with microneedling and topical ascorbic acid. This retrospective study evaluated the effectiveness of this combined therapy.Methods:Subjects presented with red (n = 25) or white (n = 10) striae on their buttocks, thighs, knees, abdomen, and breasts. CaHA filler was diluted 1:1 with lidocaine 2% without epinephrine. A maximum of 3.0 mL of filler was injected per patient at all skin depths using a 23G needle. This was immediately followed by microneedling and topical application of 20% ascorbic acid. Microneedling with ascorbic acid was repeated after 1 and 2 months. Skin biopsies were obtained from a patient who later underwent abdominoplasty.Results:The mean (±SD) pretreatment Manchester Scar Scale scores were 12.0 (±0.8), decreasing to 7.1 (±1.4) 1 month after the final treatment, indicating improvement in stretch mark appearance (P < 0.001). Subjects were very satisfied (n = 22; 62.9%), satisfied (n = 8; 22.9%), neither satisfied nor dissatisfied (n = 4; 11.4%), or unsatisfied (n = 1; 2.8%) with their treatment results. Analysis revealed a significant correlation between Scar Scale scores and Patient Satisfaction scores (r = 0.483; P = 0.003). Skin biopsies showed increased quantity and quality of collagen and elastin fibers in areas treated with combination therapy. Procedures were well tolerated.Conclusion:Combining 1:1 diluted CaHA with microneedling and topical ascorbic is safe and effective for treating stretch marks.

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Section: Introductionmentioning

confidence: 99%

Calcium Hydroxylapatite Combined with Microneedling and Ascorbic Acid is Effective for Treating Stretch Marks

Casabona

Marchese

2017

Plastic and Reconstructive Surgery - Global Open

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“…This robust reusable instrument featuring a long metal apparatus with a handle, a shaft, and a fork-like tip is conducive for efficient surgical subcision of severe rolling scars. 23 The tip has 2 notches containing a middle snaring and cutting section. A back-and-forth motion catches fibrous bands and scar tissues that are subsequently divided by the sharp areas within the notch.…”

Section: Stripping Dovetail Cannulasmentioning

confidence: 99%

Surgical Subcision for Acne Scars: A Review of Instrumentation

Lobo

Lim

2023

Dermatol Surg

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BACKGROUND Subcision is a surgical technique for managing atrophic acne scars. Over time, new instruments have emerged to increase the efficiency, efficacy, and safety of the subcision procedure, including sharp, blunt, and energyassisted devices. OBJECTIVE To review the instrumentation used for the subcision of acne scars and to provide clinicians with practical information regarding the selection of instrumentation, with a focus on advantages and disadvantages. METHODS A search of PubMed, MEDLINE, and Google Scholar was conducted for articles from January 2000 to June 2022 describing the use of subcision alone for the management of acne scarring. Demographic and clinical data were collected from the included articles. RESULTS A total of 417 patients from 17 articles were included; 155 patients underwent sharp subcision, 235 patients underwent blunt subcision, and 27 patients underwent energy-assisted subcision. The main indication for subcision was atrophic facial acne scars. Subcision using sharp, blunt, and energy-assisted instruments were all effective in treating atrophic acne scars. Adverse effects common to all subcision methods included erythema and edema. CONCLUSION Subcision is a safe and effective modality for the revision of selected acne scars and is a valuable skill set for dermatologists who perform scar revision to master.

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“…The atrophic type includes ice picks, boxcar, and rolling scars. Acne scarring is resulting from a consequence of abnormal wound healing which follows damage in the sebaceous follicles that may occur during the active stage of acne 2,3 . Recently, there has been a renewed interest in subcision.…”

Section: Introductionmentioning

confidence: 99%

“…Acne scarring is resulting from a consequence of abnormal wound healing which follows damage in the sebaceous follicles that may occur during the active stage of acne. 2,3 Recently, there has been a renewed interest in subcision.It can be used alone or as a part of the therapeutic plan. Subcision means using a special needle introduced under scarred tissue to cut the fibrous tissue causing a release of the scarring.…”

mentioning

confidence: 99%

Clinical and Histopathological evaluation of different tools for the Subcision of Atrophic Acne Scars

Ebrahim

Artima

Elardi

et al. 2021

J of Cosmetic Dermatology

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Atrophic acne scarring can affect about 75% of patients and is associated with social and psychological distress. Acne scars are classified into atrophic and hypertrophic types. 1 The atrophic type includes ice picks, boxcar, and rolling scars. Acne scarring is resulting from a consequence of abnormal wound healing which follows damage in the sebaceous follicles that may occur during the active stage of acne. 2,3 Recently, there has been a renewed interest in subcision.It can be used alone or as a part of the therapeutic plan. Subcision means using a special needle introduced under scarred tissue to cut the fibrous tissue causing a release of the scarring. [4][5][6] Multiple treatment modalities have been used for the treatment of acne scars as fractional laser and peeling but subcision has the advantage of safety use particularly in the dark skin type compared to lasers or peeling. Subcision is a mild invasive technique utilized to treat atrophic acne scars, post-surgical scars, and striae distensae. 7 It was reported that using cannula subcision in the treatment of acne scarring

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Acne Scar Treatment

Cited by 75 publications

References 18 publications

Calcium Hydroxylapatite Combined with Microneedling and Ascorbic Acid is Effective for Treating Stretch Marks

Calcium Hydroxylapatite Combined with Microneedling and Ascorbic Acid is Effective for Treating Stretch Marks

Surgical Subcision for Acne Scars: A Review of Instrumentation

Clinical and Histopathological evaluation of different tools for the Subcision of Atrophic Acne Scars

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